Organization
PONCE TENDER DENTAL PD
Active
Other names
Tender Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA RENEE PONCE DDS (OWNER)
(702) 436-6725
Entity
Organization
Contact information
Practice address
5230 BOULDER HIGHWAY, SUITE 130, LAS VEGAS, NV 89122
(702) 436-6725
(702) 995-0116
Mailing address
5230 BOULDER HIGHWAY, SUITE 130, LAS VEGAS, NV 89122
(702) 436-6725
(702) 995-0116
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3063
NV
Other
Enumeration date
07/10/2008
Last updated
07/10/2008
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